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Personal information contained on this form is collected under the Freedom of Information and Protection of Privacy Act and will be used only for the purpose of responding to the submitted request.

Name

Organization, If Applicable

Title or Position Within Organization, If Applicable

Mailing Address

Daytime Phone Number

Alternate Phone Number

Email Address

Description of Records

The Freedom of Information and Protection of Privacy Act can only be used to request copies of recorded information and not to pose questions for which responses are required. Please phrase your request accordingly. Include the date or time frame for the records, if applicable, and be as specific as possible in the details. This will assist us in responding to your request.

Provide details of the records requested.

Consent to Request Another Person's Information

If you are requesting access to another person's personal information, you will be required to submit either that person's signed consent for disclosure or proof of authority to act on the person's behalf before the request can be processed.

Please provide signed proof of consent for disclosure or proof of authority to act on the person's behalf.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Authorization Authorization

I confirm that I have truthfully identified myself as the person making this application; and, I hereby endorse the submission of this application.

I confirm that I have truthfully identified myself as the person making this application; I have obtained signed consent for disclosure or proof of authority to act on another person's behalf; and, I hereby endorse the submission of this application.

I confirm that I have truthfully identified myself as the person making this application; I am authorized to apply on behalf of the organization for which the application is being submitted; and, I hereby endorse the submission of this application

I have truthfully identified myself as the applicant; I am authorized to act on behalf of the organization requesting the information; I have consent to receive another person's information or act on someone else's behalf; and I endorse this application.

Preferred Method to Access Records Preferred Method to Access Records

Examine original at City of West Kelowna Municipal Hall.

Receive a copy by mail or by picking up in person at Municipal Hall.

Payment

Information will be released upon receipt of payment of applicable fees. Please see Schedule 1 of Fees and Charges Bylaw 0028 for a listing of fees.